New Patient

New Patient Paper Work

We offers our patient form(s) online so they can be finished it in the comfort of your own home or office.
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  • All forms are PDF files. You will need AdobeReader to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment

New patient

Special Offer

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Contact Us Anytime

  • 8414 E. Shea Blvd #100,
    Scottsdale AZ 85260
  • Phone : 480-607-4436
  • Email : azbackdoc@aol.com
Sport Injuries ? Workers Comp ? Auto Accident ?

We can help get you quick relief !